Dominion High School
21326 Augusta Drive
Sterling, Virginia 20164
Telephone: 571-434-4412
Student Name_____________________________
Dear Parents:
Your son or daughter has the opportunity to view artifacts at Dominion High School from the
African American experience, as part of Black History month. The artifacts are genuine and
uncensored; consequently, some of them are racist and emotionally difficult to view. However,
they are primary sources and your student’s teacher feels that they have great educational value.
You or your son or daughter may opt out of this opportunity without negative consequences. If
you have any questions or concerns, please contact your son or daughter’s teacher or call the
school at 571-434-4400.
Thank you for your consideration.
_______________________________________________
I give permission for my son/daughter to view the video
_______________________________________________
I do not want my son or daughter to view the video